NAME______________________________
ADDRESS__________________________
CITY______________________________
STATE______________ZIP____________
PHONE NUMBER____________________
SOCIAL SEC#_______________________
CAR NUMBER ______________________
TRANSPONDER #____________________
OWN OR RENT TRANSPONDER_________
MAIL CHECK OR MONEY ORDER TO:
THUNDERBOWL RACEWAY
P.O. BOX 1097
TULARE, CA. 93275
VISA______________________________________
MASTERCARD_____________________________
AMER. EXPRESS___________________________
SECURITY CODE_______
EXPIRE DATE _____________
NAME ON CARD__________________________
ENTRY FEE AMOUNT $ 150.00
TRANSPONDER FEE ( IF NEED TO RENT ) $30.00
PHONE NUMBER (559)688-0909
FAX TO : (559)687-1957